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Health Insurance Working Papers

Working papers are intended to make results of Census Bureau research available to others and to encourage discussion on a variety of topics. They have not undergone a review and editorial process generally accorded official Census Bureau publications.

View the list of working paper topics.

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Working Paper
Web Respondents' Interaction with the ACS Health Insurance Questions
This paper evaluates web survey respondents’ interaction with the ACS health insurance questions using 2019 ACS web survey paradata.


Working Paper
Effects of 2020 Census-Based Population Controls on 2020 Estimates
This paper demonstrates the effect of using the 2020 Census-based population controls on the 2020 data by presenting key estimates using both the 2010 and 2020


Working Paper
Examining the Impact of Medical Expenses on Supplemental Poverty Rates
The paper examines the impact of deducting out-of-pocket medical expenses on Supplemental Poverty rates.


Working Paper
Evaluating Health Insurance and Disability Estimates in the 2020 ACS
This paper examines the 2020 ACS 1-year estimates of health insurance and disability using production method weighting and entropy balanced weighting.


Working Paper
2022 ACS Content Test: Round 3 Cognitive Testing Results
This report summarizes results from Round 3 of cognitive testing, which gathered feedback from individuals in groups quarters facilities and Puerto Rico.


Working Paper
The Impact of Alternative Inflation Adjustments on CPS ASEC Income Statistics
This paper documents the implications of using chain type price indices to inflation adjust estimates of historical income and earnings statistics.


Working Paper
2022 ACS Content Test: Round 1 and Round 2 Cognitive Testing Results
This report summarizes results from two rounds of cognitive testing for the 2022 ACS Content Test.


Working Paper
Using WIC Administrative Data to Evaluate the SPM
This paper links state administrative data on the WIC program to the CPS ASEC to assess the impact of WIC misreporting on the Supplemental Poverty Measure.


Working Paper
Incorporating Health Insurance in Poverty Measurement: Implementing a Health Inclusive Poverty Measure in the United States
This paper discusses the feasibility of incorporating a value of health insurance in the Supplemental Poverty Measure framework


Working Paper
Evaluating Subannual Health Insurance Coverage in the CPS ASEC
This paper examines subannual health insurance coverage estimates in the Current Population Survey Annual Social and Economic Supplement (CPS ASEC).


Working Paper
Gender and Employer-Sponsored Insurance
This paper examines if adding the value of employer-sponsored insurance to employee wages affects estimates of the gender compensation gap.


Working Paper
Out-of-Pocket Medical Expenditures in the Redesigned CPS
How the redesign of the CPS ASEC processing system affected estimates of medical expenditures and medical burden.


Working Paper
Subsidized Marketplace Coverage in the American Community Survey
This paper provides background on the new premium and subsidy question and presents estimates of subsidized Marketplace coverage.


Working Paper
COVID-19 and Measuring Health Insurance Coverage in the 2020 CPS ASEC
This paper examines how changes to survey operations during the COVID-19 pandemic may have influenced health insurance coverage estimates for the 2020 CPS ASEC


Working Paper
Updates to Out-of-Pocket Medical Expenditures and Medicare Premiums
This working paper discusses the updates made to the processing of out-of-pocket medical expenditures and Medicare premiums.


Working Paper
How did the questionnaire change affect health insurance estimates?
In 2018, the Census Bureau fielded a Split-Panel test of the Current Population Survey Annual Social and Economic Supplement (CPS ASEC).


Working Paper
Health Insurance in the United States: Evaluating the Effects of Changes in the CPS ASEC
This presentation describes estimates of health insurance coverage using the 2017 CPS ASEC Research File.


Working Paper
Uninsurance Estimates from the Redesigned Current Population Survey
This paper evaluates the quality of imputation procedures in the redesigned CPS ASEC.


Working Paper
Health Insurance and Health Status for Same-Sex Couples
Family diversity has been increasing in the United States over the last few decades, especially as same-sex marriage and same-sex parenthood become more common.


Working Paper
Health Insurance Coverage in the 2017 CPS ASEC Research File
This paper describes key changes implemented in the new processing system and present health insurance coverage estimates.


Working Paper
Health Insurance Coverage CPS: Estimates from the 2017 Research File
This paper compare health insurance coverage estimates between the CPS ASEC production and research files.


Working Paper
How did the questionnaire change affect health insurance estimates?
In 2017, the Census Bureau fielded a Split-Panel test of the Current Population Survey Annual Social and Economic Supplement (CPS ASEC).


Working Paper
Health Insurance Coverage and Write-ins in the ACS
This project looks at the relationship between write-in use and health insurance coverage in the American Community Survey.


Working Paper
Changes in Offer and Take-up of Employer Sponsored Health Insurance
Poster presented at the 2016 Association for Public Policy Analysis and Management (APPAM) conference.


Working Paper
2016 American Community Survey Content Test: Health Insurance
Results from the 2016 ACS Content Test of the questions about Health Insurance.


Working Paper
Health Conditions and the Population with Disabilities
The Relationship Between Health Conditions and the Core Disability Question Set, Presented at the 2017 Population Association of America Meeting.


Working Paper
Demonstrating the Effectiveness of Small Area Estimates
This work shows how ACS 5-year estimates of health insurance coverage compare with single-year modeled estimates from SAHIE during a period of rapid change.


Working Paper
How did the questionnaire change affect health insurance estimates?
In 2016, the Census Bureau fielded a Split-Panel test of the Current Population Survey Annual Social and Economic Supplement (CPS ASEC).


Working Paper
Reporting of Days Sick by Proxy Status, Findings from the 2014 SIPP
This project looks at sick day reporting by proxy status.


Working Paper
Internet Access and Racial/Ethnic Disparities


Working Paper
Response Error & the Medicaid Undercount in the CPS
Examines the Medicaid undercount in the 2007-2011 CPS ASEC compared to enrollment data from the Medicaid Statistical Information System.


Working Paper
Medicare Coverage and Reporting
Estimates the extent to which individuals misreport their Medicare coverage.


Working Paper
Changes in Medical Out-of-Pocket Expenditures over 2013-2014
This paper uses the 2014-2015 CPS Annual Social and Economic Supplement to consider changes in medical out-of-pocket expenditures over 2013-2014.


Working Paper
A Review of the Redesign of the CPS Health Insurance Questions


Working Paper
New Estimates of Offer and Take-up of Employer-Sponsored Insurance
Analysis uses new questions in the CPS ASEC to examine rates of offer and take-up of employer-sponsored health insurance over early 2014 and early 2015.


Working Paper
Health insurance disparities and the Affordable Care Act
Disparities in health insurance between social and demographic subgroups decreased as many provisions of the Affordable Care Act went into effect.

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